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psnet.ahrq.gov/node/45551/psn-pdf
November 30, 2016 - Parents' perspectives on "keeping their children safe" in
the hospital.
November 30, 2016
Rosenberg RE, Rosenfeld P, Williams E, et al. Parents' Perspectives on "Keeping Their Children Safe" in
the Hospital. J Nurs Care Qual. 2016;31(4):318-326. doi:10.1097/NCQ.0000000000000193.
https://psnet.ahrq.gov/issue/parent…
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psnet.ahrq.gov/node/43052/psn-pdf
March 19, 2014 - Surgical ward round quality and impact on variable
patient outcomes.
March 19, 2014
Pucher PH, Aggarwal R, Darzi A. Surgical ward round quality and impact on variable patient outcomes.
Ann Surg. 2014;259(2):222-6. doi:10.1097/SLA.0000000000000376.
https://psnet.ahrq.gov/issue/surgical-ward-round-quality-and-impact…
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psnet.ahrq.gov/node/41303/psn-pdf
March 11, 2013 - Clinical risk management in hospitals: strategy, central
coordination and dialogue as key enablers.
March 11, 2013
Briner M, Manser T, Kessler O. Clinical risk management in hospitals: strategy, central coordination and
dialogue as key enablers. J Eval Clin Pract. 2013;19(2):363-369. doi:10.1111/j.1365-2753.2012.01…
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psnet.ahrq.gov/node/44270/psn-pdf
July 01, 2015 - Improving Patient Safety Culture Through Teamwork and
Communication: TeamSTEPPS.
July 1, 2015
Chicago, IL: Health Research & Educational Trust; June 2015.
https://psnet.ahrq.gov/issue/improving-patient-safety-culture-through-teamwork-and-communication-
teamstepps
This guide draws from the experience of organizati…
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psnet.ahrq.gov/node/45569/psn-pdf
January 23, 2017 - Patient experience must move beyond bad apples.
January 23, 2017
Hamedani A, Safdar B, Aaronson E, et al. Patient Experience Must Move Beyond Bad Apples. Ann Intern
Med. 2016;165(12):869-870. doi:10.7326/M16-1725.
https://psnet.ahrq.gov/issue/patient-experience-must-move-beyond-bad-apples
Patient safety leaders ha…
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psnet.ahrq.gov/node/43062/psn-pdf
September 04, 2016 - The relationship between patient safety culture and
patient outcomes: a systematic review.
September 4, 2016
DiCuccio MH. The Relationship Between Patient Safety Culture and Patient Outcomes: A Systematic
Review. J Patient Saf. 2015;11(3):135-42. doi:10.1097/PTS.0000000000000058.
https://psnet.ahrq.gov/issue/relat…
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psnet.ahrq.gov/node/42984/psn-pdf
February 26, 2014 - Delivering the truth: challenges and opportunities for
error disclosure in obstetrics.
February 26, 2014
Carranza L, Lyerly AD, Lipira L, et al. Delivering the Truth. Obstetrics & Gynecology. 2014;123(3).
doi:10.1097/aog.0000000000000130.
https://psnet.ahrq.gov/issue/delivering-truth-challenges-and-opportunities-e…
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psnet.ahrq.gov/node/41771/psn-pdf
March 20, 2018 - Improving Patient Safety Systems for Patients With
Limited English Proficiency: A Guide For Hospitals.
March 20, 2018
Rockville, MD: Agency for Healthcare Research and Quality; September 2012. AHRQ Publication No. 12-
0041.
https://psnet.ahrq.gov/issue/improving-patient-safety-systems-patients-limited-english-prof…
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psnet.ahrq.gov/node/72734/psn-pdf
February 10, 2021 - Meitheal Pharmaceuticals, Inc. issues voluntary
nationwide recall of Cisatracurium Besylate Injection,
USP 10mg per 5mL due to mislabeling.
February 10, 2021
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; January 27, 2021.
https://psnet.ahrq.gov/issue/meitheal-pharmaceuticals-inc…
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digital.ahrq.gov/ahrq-funded-projects/evaluating-and-enhancing-health-information-technology-covid-19-response/citation/navigating
January 01, 2023 - Navigating infection control processes in a COVID-19 only safety-net hospital at the height of the pandemic.
Citation
Kaufman DR, Senathirajah Y, Cato K, Kushniruk A, Borycki E, Minshal S, Roblin P, Daniel P. Navigating infection control processes in a COVID-19 only safety-net hospital at the height o…
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digital.ahrq.gov/organization/university-kentucky
January 01, 2023 - University of Kentucky
Disseminating and Implementing MedSMA℞T Families in Emergency Departments: A Randomized Control Trial to Assess Effectiveness of an Evidence-Based Gaming Intervention to Reduce Opioid Misuse
Description
This research tests the effectiveness of MedSMA℞T M…
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digital.ahrq.gov/ahrq-funded-projects/mobile-app-enhance-smoking-cessation-shared-decision-making-primary-care/citation/challenges
January 01, 2023 - Challenges in the development of e-Quit worRx: an iPad app for smoking cessation counseling and shared decision making in primary care.
Citation
Doarn CR, Vonder Meulen MB, Pallerla H, Acquavita SP, Regan S, Elder N, Tubb MR. Challenges in the development of e-Quit worRx: an iPad app for smoking cess…
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www.ahrq.gov/funding/training-grants/kaward/evaluation-report.html
August 01, 2016 - Agency for Healthcare Research and Quality Individual Career Development (K) Award Program
Evaluation Report
As part of its mission, the Agency for Healthcare Research and Quality (AHRQ) provides a variety of extramural funding opportunities designed to support and enhance the education and career…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-medication-cpoe-safety-and-quality-indications-based-prescribing/citation/comparison
January 01, 2023 - Comparison of a prototype for indications-based prescribing with 2 commercial prescribing systems.
Citation
Garabedian PM, Wright A, Newbury I, Volk LA, Salazar A, Amato MG, Nathan AW, Forsythe KJ, Galanter WL, Kron K, Myers S, Abraham J, McCord SK, Eguale T, Bates DW, Schiff GD. Comparison of a prot…
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psnet.ahrq.gov/node/847057/psn-pdf
April 05, 2023 - Implement strategies to prevent persistent medication
errors and hazards.
April 5, 2023
ISMP Medication Safety Alert! Acute care edition. March 23, 2023;28(6):1-4.
https://psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards
Medication mistakes are recognized contributors to p…
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psnet.ahrq.gov/node/844792/psn-pdf
January 01, 2020 - Surgical data recording technology: a solution to address
medical errors?
September 18, 2019
Shah NA, Jue J, Mackey T. Surgical Data Recording Technology. Ann Surg. 2020;271(3):431-433.
doi:10.1097/sla.0000000000003510.
https://psnet.ahrq.gov/issue/surgical-data-recording-technology-solution-address-medical-errors…
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psnet.ahrq.gov/node/854639/psn-pdf
October 18, 2023 - Right Kind of Wrong: Why Learning to Fail can Teach us
to Thrive.
October 18, 2023
Edmondson A. Atria Books, New York, 2023. ISBN: 9781982195069.
https://psnet.ahrq.gov/issue/right-kind-wrong-why-learning-fail-can-teach-us-thrive
Despite the harm that failure can cause, its value as a learning opportunity, if exam…
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psnet.ahrq.gov/node/42089/psn-pdf
March 06, 2013 - Organizational culture: an important context for
addressing and improving hospital to community patient
discharge.
March 6, 2013
Hesselink G, Vernooij-Dassen M, Pijnenborg L, et al. Organizational culture: an important context for
addressing and improving hospital to community patient discharge. Med Care. 2013;51(…
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psnet.ahrq.gov/node/60672/psn-pdf
July 08, 2020 - The Care We Need
July 8, 2020
Washington DC: National Quality Forum; 2020.
https://psnet.ahrq.gov/issue/care-we-need
This report builds on the legacy of To Err is Human and Crossing the Quality Chasm to outline an approach
to improve the US health care system. Five strategic objectives are provided--one of which f…
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psnet.ahrq.gov/node/43334/psn-pdf
July 16, 2014 - Changing our culture: adopting the military aviation
safety system.
July 16, 2014
Kerber CW. Changing our culture: adopting the military aviation safety system. J Neurointerv Surg.
2014;6(5):332-41. doi:10.1136/neurintsurg-2013-011070.
https://psnet.ahrq.gov/issue/changing-our-culture-adopting-military-aviation-sa…